Provider Demographics
NPI:1609279181
Name:MALINOWSKI, KAREN V (PT, DPT, MS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:V
Last Name:MALINOWSKI
Suffix:
Gender:F
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-6414
Mailing Address - Country:US
Mailing Address - Phone:973-226-1100
Mailing Address - Fax:973-226-5993
Practice Address - Street 1:165 FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-6414
Practice Address - Country:US
Practice Address - Phone:973-226-1100
Practice Address - Fax:973-226-5993
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01400500225100000X
NY019755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist